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A new study from researchers at the Stem Cell Program at Boston Children’s Hospital suggests that capacity of young animals to repair their tissue effortlessly can also be recaptured in adults. By reactivating a dormant gene called Lin28a, which is active in embryonic stem cells, researchers were able to regrow hair and repair cartilage, bone, skin and other soft tissues in a mouse model.

The study also found that Lin28a promotes tissue repair in part by enhancing metabolism in mitochondria — the energy-producing engines in cells — suggesting that a mundane cellular ‘housekeeping’ function could open new avenues for developing regenerative treatments. Findings were published online by the journal Cell.

‘Efforts to improve wound healing and tissue repair have mostly failed, but altering metabolism provides a new strategy which we hope will prove successful,’ said the study’s senior investigator, George Q. Daley, MD, PhD, director of Boston Children’s Stem Cell Transplantation Program and an investigator with the Howard Hughes Medical Institute.

‘Most people would naturally think that growth factors are the major players in wound healing, but we found that the core metabolism of cells is rate-limiting in terms of tissue repair,’ said PhD candidate Shyh-Chang Ng, co-first author on the paper with Hao Zhu, MD, both scientists in the Daley Lab. ‘The enhanced metabolic rate we saw when we reactivated Lin28a is typical of embryos during their rapid growth phase.’

Lin28, first discovered in worms, functions in all complex organisms. It is abundant in embryonic stem cells, expressed strongly during early embryo formation and has been used to reprogram me skin cells into stem cells. It acts by binding to RNA and regulating how genes are translated into proteins.

To better understand how Lin28a promotes tissue repair, the researchers systematically looked at what specific RNAs it binds to. They initially had their sights on a tiny RNA called Let-7, which is known to promote cell maturation and ageing.

The researchers found that Lin28a also enhances the production of metabolic enzymes in mitochondria, the structures that produce energy for the cell. By revving up a cell’s bioenergetics, they found, Lin28a helps generate the energy needed to stimulate and grow new tissues.

‘We already know that accumulated defects in mitochondrial metabolism can lead to ageing in many cells and tissues,’ said Shyh-Chang. ‘We are showing the converse — that enhancement of mitochondrial metabolism can boost tissue repair and regeneration, recapturing the remarkable repair capacity of juvenile animals.’

Further experiments showed that bypassing Lin28a and directly activating mitochondrial metabolism with a small-molecule compound also had the effect of enhancing wound healing. This suggests the possibility of inducing regeneration and promoting tissue repair with drugs.

Lin28a didn’t universally induce regeneration in all tissues. Heart tissue showed little effect, and while the researchers were able to enhance the regrowth of finger tips in newborn mice, they could not in adults.

‘Lin28a could be a key factor in constituting a healing cocktail, but there are other embryonic factors that remain to be found,’ said Shyh-Chang.